Individual
JESSICA THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAIN ST, EATONTOWN, NJ 07724-3450
(732) 493-3100
(732) 876-4967
Mailing address
141 FOREST LAKE DR N, BYRAM TOWNSHIP, NJ 07821-4020
(973) 534-5215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00892800
NJ
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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